摘要
目的针对卫生系统中存在的医疗资源利用波动情况,提出医疗资源配置中合理冗余概念,为进一步完善医疗资源测算方法提供参考建议。方法以上海市为例,根据2014年上海市门诊病人和住院病人数据,分析上海市医疗机构1年内医疗服务需求分布的波动情况,明确医疗需求波动对医疗资源配置冗余的必要性。结果 2014年上海市单日收治门诊病人最大值为994 191人次,全年单日门诊病人最小值为53 700人次,全年平均每日收治门诊病人为562 442人次,超过均值的天数有229天,占全年所有天数的62%;全年单日住院病人最大值为96 493人次,单日住院病人最小值为58 929人次。结论由于医疗服务需求是波动分布的,单一地按照医疗卫生需要平均水平配置医疗卫生资源的方式,并不能满足医疗服务需求高峰期,会造成高峰期内医疗资源紧缺、居民看病难的问题。建议在医疗资源配置规划中考虑医疗需求波动因素,根据医疗需求波动的大小确定合理冗余。考虑合理冗余卫生资源存在的必要性和合理性,为进一步完善资源配置方法提供参考意见。
Objective Taking the fluctuation of health demand into consideration, the paper put forward a concept of ＂reasonable redundancy＂ to provide suggestions for perfecting medical resource measuring method. Method Through taking Shanghai as an example, and collecting outpatient and inpatient data of Shanghai in 2014, the fluctuation of medical service demand distribution within 1 year was analyzed, and the necessity of medical demand fluctuation on medical resource allocation redundancy was identified. Result The maximum number of outpatients accepting by all hospitals in Shanghai in a single day is 994 191 and the minimum number is 53 700. The maximum number of inpatients accepting by all hospitals in Shanghai in a single day is 96 493 and the minimum number is 58 929. Conclusion For the reason that the demand of health resource is fluctuated, allocating health resources according to the average level cannot satisfy people＇ s health demand well, which wilt cause the difficulty of seeking health services during the period of rush. It＇s necessary to.pay attention to the influence of heatth demand fluctuation on health resource allocation. Therefore, it is suggested that the fluctuation of health demand should be considered in the process of health planning, which helps to improve the method of health resource allocation.
出处
《中国医院管理》
北大核心
2016年第9期5-7,18,共4页
Chinese Hospital Management
基金
教育部哲学社会科学研究重大课题攻关项目(15JZD029)
上海市政府发展研究中心资助项目(2014-Z-M02)
关键词
卫生资源
区域卫生规划
合理冗余
health resource, regional health planning, reasonable redundancy
